The Department of Surgery, University of Manitoba, Winnipeg, Canada.
Can J Surg. 2010 Aug;53(4):246-50.
Using a nationwide survey, we aimed to determine the current status of operative dictation training in Canada.
Residents and program directors in general surgery programs in Canada participated in this survey.
In all, 274 residents and 11 program directors responded to the survey (70% and 79% response rates, respectively). Among residents, 73% reported that their dictations were in need of improvement, and 56% reported never receiving feedback about their dictations. Most residents (80%) stated that they learned to dictate by reading old operative dictations, 75% reported that their program did not use any formal methods to help improve dictations, and 70% requested further training in dictation. In all, 91% of program directors felt that residency programs should include formal training in dictation but half could not identify any formal methods currently used in their programs.
There appears to be a marked deficiency in resident training in operative dictation nationwide.
本研究通过一项全国性调查，旨在明确加拿大目前的外科手术操作口述训练现状。
加拿大普通外科项目的住院医师和项目主管参与了此次调查。
共有 274 名住院医师和 11 名项目主管对调查做出回应（分别为 70%和 79%的回应率）。住院医师中，73%的人表示他们的口述需要改进，56%的人表示从未收到过对口述的反馈。大多数住院医师（80%）表示，他们通过阅读旧的手术口述来学习口述，75%的人报告说他们的项目没有使用任何正式方法来帮助改善口述，70%的人要求进一步对口述进行培训。总的来说，91%的项目主管认为住院医师培训项目应包括对口述的正式培训，但一半的人无法确定他们所在项目目前使用的任何正式方法。
全国范围内，住院医师在手术操作口述方面的培训明显不足。
